How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $331.13 | Facility | None | $20.42 | $22.91 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $25.70 | Professional | None | $16.22 | $19.50 | $25.70 |
BCBS Idaho Setting Facility Modifier None Typical Low $61.66 Median $112.20 Typical High $213.80 | Facility | None | $61.66 | $112.20 | $213.80 |
BCBS Idaho Setting Professional Modifier None Typical Low $21.38 Median $104.71 Typical High $114.82 | Professional | None | $21.38 | $104.71 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $26.30 | Professional | None | $17.78 | $22.39 | $26.30 |
Moda Health Setting Facility Modifier None Typical Low $22.91 Median $128.82 Typical High $467.74 | Facility | None | $22.91 | $128.82 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $15.85 Median $25.12 Typical High $66.07 | Professional | None | $15.85 | $25.12 | $66.07 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $24.55 Median $27.54 Typical High $27.54 | Facility | None | $24.55 | $27.54 | $27.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $114.82 | Professional | None | $27.54 | $27.54 | $114.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $229.09 | Facility | None | $120.23 | $173.78 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Select Health Setting Facility Modifier None Typical Low $14.45 Median $14.79 Typical High $107.15 | Facility | None | $14.45 | $14.79 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $18.62 | Professional | None | $14.45 | $14.45 | $18.62 |
United Setting Professional Modifier None Typical Low $13.49 Median $26.92 Typical High $40.74 | Professional | None | $13.49 | $26.92 | $40.74 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier 59 · Distinct service Typical Low $42.66 Median $213.80 Typical High $741.31 | Facility | 59 · Distinct service | $42.66 | $213.80 | $741.31 |
Where Idaho sits
The same service costs 7.4 times more in Vermont than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 12th of 51
$38.90
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.